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부갑상선 선종의 골병변과 이에 대한 치료

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Author(s)
강창수강철형김성렬
Keimyung Author(s)
Kang, Chang SooKang, Chul Hyung
Department
Dept. of Orthopedic Surgery (정형외과학)
Institute for Medical Science (의과학 연구소)
Journal Title
Keimyung Medical Journal
Issued Date
1998
Volume
17
Issue
2
Keyword
BoneHyperparathyroidism
Abstract
Hyperparathyroidism is a rare clinical condition that may cause various musculoskeletal deformities and is usually caused by a parathyroid adenoma or parathyroid hyperplasia. Generalized osteoporosis was the basic manifestation seen in all of our cases. Pathologic fractures with bone deformities or brown tumors were observed in severe cases, which required a surgery in selected cases. The deformities caused by hyperparathyroidism mainly observed in the weight bearing lower extremities, usually manifested as coxa vara and /or genu valgum. Though the generalized osteoporosis could be improved after excision of parathyroid adenoma, skeletal deformities could not corrected by ablation of parathyroid adenoma, skeletal deformities could not corrected by ablation of parathyroid adenoma requiring some kind of corrective surgeries later.
We have 7 cases of hyperparathyroidism caused by parathyroid adenoma between the period from 1971 to 1993. All of them were required surgical excision of the adenoma.
Biomechanical changes were corrected within 4 weeks after parathyroid surgery.
Osteoporosis even the brown tumors were improved gradually within a few years after parathyroid surgery but bone deformities were left uncorrected. In one case bilateral coxa vara and genu valgum deformities were severe enough to have corrective bone surgeries and this patient was followed up 5 and 7 years after corrective surgery.
Alternative Title
Bone Changes and
their Treatment in Parathyroid Adenomas
Keimyung Author(s)(Kor)
강창수
강철형
Publisher
Keimyung University School of Medicine
Citation
강창수 et al. (1998). 부갑상선 선종의 골병변과 이에 대한 치료. Keimyung Medical Journal, 17(2), 255–265.
Type
Article
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15085
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 1998
1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
3. Research Institutues (연구소) > Institute for Medical Science (의과학연구소)
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